Duodenal involvement by seminomatous tumors

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[Biliopancreatic diversion and simultaneous resection of a giant ulcerated fatty mass in a patient with body mass index: 75]. / Derivación biliopancreática y resección simultánea de masa adiposa ulcerada gigante en paciente con índice de masa corporal de 75.

Bariatric Surgery is currently the best treatment option for patients with Morbid Obesity and a Body Mass Index ≥ 40 kg/m2. Despite its high rate of postoperative and nutritional complications, biliopancreatic diversion (Scopinaro s procedure) has shown best results in terms of excess weight loss and improving obesity-associated diseases. This technique was performed on a 52-year-old woman (weight = 174 Kg, height = 152 cm, BMI= 75.3 kg/m2), with a classic open access due to anaesthesiologist's indication. During this procedure it was also performed a resection of a giant fatty mass on the inner side of left lower limb, which was ulcerated and infected. Postoperative period was uneventful, excepting wound dehiscence of the leg, requiring re-suturing. Six months after hospital discharge, the patient's percent excess weight loss was 36.98%. In our bariatric surgery series, with more than 400 patients since 2002, this patient was the one with the highest BMI.

Derivación biliopancreática y resección simultánea de masa adiposa ulcerada gigante en paciente con Índice de Masa Corporal de 75 / Biliopancreatic diversion and simultaneous resection of a giant ulcerated fatty mass in a patient with body mass index: 75

La Cirugía Bariátrica es la mejor opción terapéutica de la obesidad mórbida con índice de masa corporal ≥ 40 kg/m2. A pesar del elevado riesgo de complicaciones post-quirúrgicas y nutricionales que presenta, la derivación biliopancreática de Scopinaro ha demostrado los mejores resultados de pérdida del exceso de peso y reducción de patologías asociadas. Esta fue la técnica realizada en una mujer de 52 años (peso = 174 kg, talla = 152 cm, IMC = 75,3 kg/m2), optando por abordaje vía abierta por indicación anestésica. En el mismo acto operatorio se resecó gran masa adiposa ulcerada y sobreinfectada en muslo izquierdo. El postoperatorio fue favorable, salvo dehiscencia de herida del muslo, que requirió resutura. Seis meses después, el porcentaje de pérdida de exceso de peso es del 36,98%. En nuestra serie de más de 400 enfermos con Cirugía Bariátrica desde el año 2002, esta paciente ha sido la de mayor IMC (AU)

Bariatric Surgery is currently the best treatment option for patients with Morbid Obesity and a Body Mass Index ≥ 40 kg/m2. Despite its high rate of postoperative and nutritional complications, biliopancreatic diversion (Scopinaro s procedure) has shown best results in terms of excess weight loss and improving obesity-associated diseases. This technique was performed on a 52-year-old woman (weight = 174 Kg, height = 152 cm, BMI= 75.3 kg/m2), with a classic open access due to anaesthesiologist's indication. During this procedure it was also performed a resection of a giant fatty mass on the inner side of left lower limb, which was ulcerated and infected. Postoperative period was uneventful, excepting wound dehiscence of the leg, requiring resuturing. Six months after hospital discharge, the patient's percent excess weight loss was 36.98%. In our bariatric surgery series, with more than 400 patients since 2002, this patient was the one with the highest BMI (AU)